The risks, needs and stages of recovery of a complete forensic patient cohort in an Australian state – 2018-02

Background Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sought to characterise the risks, needs and stages of recovery

Seclusion: the association with diagnosis, gender, length of stay and HoNOS-secure in low and medium secure inpatient mental health service – 2018-02

The use of seclusion is controversial. Using routinely collected data from low and medium secure service provider in the United Kingdom (n = 347) this study compared secluded and non-secluded Asperger’s syndrome, paranoid schizophrenia, organic personality disorder and emotionally unstable personality disorder patients. Analysis revealed that secluded patients were younger

Psychopathy, the Big Five and empathy as predictors of violence in a forensic sample of substance abusers – 2018-02

It is widely recognized that substance abuse increases the general risk of delinquency and violent offenses in particular. Substance-related disorders are the primary cause of offenders being sentenced to mandatory treatment in forensic psychiatry. However, instead of a mono-causal link between addiction and violence, additional risk factors must be assumed.

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders – 2017-08

This study examined the impact of an intensive inpatient violent offender treatment programme, Life Minus Violence-Enhanced (LMV-E), on intermediary treatment targets, risk for violence, and aggressive behaviour during treatment in a sample of male mentally disordered offenders. Using quasi-experimental design, offenders who completed LMV-E and a comparison group showed reduced

Evaluating the Violence Prevention Program: group and individual changes in aggression, anger, self-control, and empathy – 2017-10

While youth violence reduction program is a necessity to prevent long-term criminal and violent offending, its effectiveness in youth violent offenders is not well researched. This study investigated the effectiveness of the Violence Prevention Program (VPP) in addressing the aggression, anger, self-control, and empathy of youth violent offenders. One hundred

A Theoretical and Empirical Review of Dialectical Behavior Therapy Within Forensic Psychiatric and Correctional Settings Worldwide – 2018-01

Cognitive-behavioral programs which are structured, skills-based, and risk-focused have been found to reduce recidivism rates by up to 55%. Dialectical behavior therapy (DBT) exemplifies all of these components, and has been rapidly adapted and implemented in correctional and forensic psychiatric facilities worldwide to reduce recidivism. Regrettably, the widespread implementation of

Psychiatric Treatment in Forensic Hospital and Correctional Settings – 2018-02

Many psychiatric patients are treated in forensic settings, including correctional facilities and high-security hospitals. This article provides mental health practitioners with essential knowledge about forensic settings to enhance their clinical care of patients involved with the criminal justice system. The article provides an overview of the interface between the mental

Locked in and Growing Old: The Psychiatric, Forensic, and Cognitive Correlates of 30 Years of Psychiatric Hospitalization – 2018-02

Highlights • The psychiatric, forensic, and cognitive characteristics of an extensively hospitalized sample of older adult inpatients with psychosis were investigated. • Older adult inpatients exhibited primary psychiatric symptoms via delusions and negative symptoms. • Older adults demonstrated worse overall cognition and memory than general psychiatric inpatients. • More severe hallucinations were associated

Cognitive bias in forensic mental health assessment: Evaluator beliefs about its nature and scope – 2018-02

Decision-making of mental health professionals is influenced by irrelevant information (e.g., Murrie, Boccaccini, Guarnera, & Rufino, 2013). However, the extent to which mental health evaluators acknowledge the existence of bias, recognize it, and understand the need to guard against it, is unknown. To formally assess beliefs about the scope and

The Roles of Antisociality and Neurodevelopmental Problems in Criminal Violence and Clinical Outcomes Among Male Forensic Inpatients – 2017-12

Research has identified developmental pathways linking childhood abuse and poor parenting to cognitive impairment or general antisociality in adolescence. We examined pathways in adult offenders, aiming to reproduce pathways identified in the limited existing research with male forensic inpatients and testing their robustness and relation to clinical outcomes. Using structural

Differences in Neuropsychological Functioning Between Homicidal and Nonviolent Schizophrenia Samples – 2018

Few studies have compared performance on neurocognitive measures between violent and nonviolent schizophrenia samples. A better understanding of neurocognitive dysfunction in violent individuals with schizophrenia could increase the efficacy of violence reduction strategies and aid in risk assessment and adjudication processes. This study aimed to compare neuropsychological performance between 25

What features of psychopathy might be central? A network analysis of the Psychopathy Checklist-Revised (PCL-R) in three large samples – 2018

Despite a wealth of research, the core features of psychopathy remain hotly debated. Using network analysis, an innovative and increasingly popular statistical tool, the authors mapped the network structure of psychopathy, as operationalized by the Psychopathy Checklist—Revised (PCL-R; Hare, 2003) in two large U.S. offender samples (nNIMH = 1559; nWisconsin

Self-Disclosure in Criminal Justice: What Form Does It Take and What Does It Achieve? – 2018-01-09

Self-disclosure, the act of therapists revealing something about themselves in the context of a professional relationship, has been linked with higher levels of effectiveness when used by correctional workers. However, it is poorly defined in both criminal justice policy and criminological research which has resulted in a lack of understanding

Characteristics and Needs of Long-Stay Forensic Psychiatric Inpatients: A Rapid Review of the Literature – 2018-01-15

This rapid review summarizes currently available information on the definition, prevalence, characteristics, and needs of long-stay patients within forensic psychiatric settings. Sixty nine documents from 14 countries were identified. Reports on what constitutes “long-stay” and on the characteristics of long-stay patients were inconsistent. Factors most frequently associated with longer stay